Publications by authors named "Michael Hassett"

Purpose: The COVID-19 pandemic created significant disruptions in the diagnosis and treatment of breast cancer (BC). Several public health measures were taken with limited evidence on their potential impact. In this observational study, we sought to compare the incidence of BC, treatment patterns, and mortality during 2020 versus 2018 and 2019.

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  • Electronic patient-reported outcomes (ePROs) can enhance cancer patient care, but integrating them into clinical systems poses significant challenges, requiring technical resources, clinician and patient commitment, and institutional support.* -
  • The SIMPRO Research Consortium created and implemented eSyM, an ePRO-based symptom management program across six cancer centers, tracking implementation methods and barriers through established frameworks and tools like REDCap.* -
  • Out of 226 documented implementation strategies, 64 unique strategies were identified, with universal strategies that were consistently effective focusing on clinical preparation, training, and patient/clinician engagement being seen as particularly impactful.*
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Purpose: The integration of patient-reported outcomes (PROs) into electronic health records (EHRs) has enabled systematic collection of symptom data to manage post-treatment symptoms. The use and integration of PRO data into routine care are associated with overall treatment success, adherence, and satisfaction. Clinical trials have demonstrated the prognostic value of PROs including physical function and global health status in predicting survival.

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When cyanobacterial phytoplankton form harmful cyanobacterial blooms (HCBs), the toxins they produce threaten freshwater ecosystems. Hydrogen peroxide is often used to control HCBs, but it is broadly toxic and dangerous to handle. Previously, we demonstrated that glucose addition to lake water could suppress the abundance of cyanobacteria.

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  • The study explores the integration of clinical informatics (CI) and implementation science (IS) in improving cancer symptom management during trials, focusing on electronic patient-reported outcomes (ePROs).
  • Researchers faced challenges with electronic health records (EHRs), including limited functionality and the need for strong planning and organizational support to effectively collect and respond to patient-reported symptoms.
  • A unified understanding and shared terminology between CI and IS teams can enhance EHR design and improve the implementation of ePRO systems in oncology, leading to better monitoring and management of cancer symptoms.
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Importance: Angiosarcoma is an aggressive vascular malignant neoplasm presenting either as a primary or secondary cancer, often arising after radiotherapy or in the context of preexisting lymphedema. Comprehensive data describing its incidence and presentation patterns are needed.

Objective: To describe the incidence, presenting characteristics, and change over time of angiosarcoma in the US.

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Unlabelled: Artificial intelligence (AI) in oncology is advancing beyond algorithm development to integration into clinical practice. This review describes the current state of the field, with a specific focus on clinical integration. AI applications are structured according to cancer type and clinical domain, focusing on the four most common cancers and tasks of detection, diagnosis, and treatment.

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  • Daptomycin-induced eosinophilic pneumonia (DIEP) is a rare but serious side effect of using daptomycin, characterized by fever, difficulty breathing, and cough, along with observable changes in the lungs via imaging.
  • Symptoms typically arise after starting daptomycin, leading to significant eosinophils in the lungs and improved health after stopping the medication.
  • Treatment primarily involves discontinuing daptomycin, administering corticosteroids, and providing supportive care like oxygen, and doctors need to be vigilant for DIEP symptoms in patients recently treated with daptomycin.
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Purpose: Precision oncology clinical trials often struggle to accrue, partly because it is difficult to find potentially eligible patients at moments when they need new treatment. We piloted deployment of artificial intelligence tools to identify such patients at a large academic cancer center.

Patients And Methods: Neural networks that process radiology reports to identify patients likely to start new systemic therapy were applied prospectively for patients with solid tumors that had undergone next-generation sequencing at our center.

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  • - The study evaluated the impact of changing the reporting recall period for electronic patient-reported outcomes (eSyM) from 7 days to 24 hours on symptom reporting in cancer patients.
  • - Analyzing data from 1692 patients over 16 weeks, researchers found that a shorter recall period led to significantly lower odds of patients reporting severe and moderate symptoms, particularly in surgery patients.
  • - The conclusion suggests that the ideal recall period for symptom reporting may need to be tailored depending on the purpose, whether it’s for managing symptoms, clinical trials, or other uses.
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  • * A cohort of 2,836 men diagnosed with HR+ breast cancer from 1990 to 2008 was analyzed, revealing a cumulative 20-year BCSM risk of 12.4% for stage I, 26.2% for stage II, and 46.0% for stage III.
  • * Factors influencing higher risks of late BCSM include being younger than 50, having higher grade tumors, and having advanced stage disease, particularly after surviving the first 5 years post-diagnosis.
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Background: Electronic patient-reported outcome (ePRO)-based symptom management improves cancer patients' outcomes. However, implementation of ePROs is challenging, requiring technical resources for integration into clinical systems, substantial buy-in from clinicians and patients, novel workflows to support between-visit symptom management, and institutional investment.

Methods: The SIMPRO Research Consortium developed eSyM, an electronic health record-integrated, ePRO-based symptom management program for medical oncology and surgery patients and deployed it at six cancer centers between August 2019 and April 2022 in a type II hybrid effectiveness-implementation cluster randomized stepped-wedge study.

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Monoolein-based liquid crystal phases are established media that are researched for various biological applications, including drug delivery. While water is the most common solvent for self-assembly, some ionic liquids (ILs) can support lipidic self-assembly. However, currently, there is limited knowledge of IL-lipid phase behavior in ILs.

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Background: Systematic approaches are needed to accurately characterize the dynamic use of implementation strategies and how they change over time. We describe the development and preliminary evaluation of the Longitudinal Implementation Strategy Tracking System (LISTS), a novel methodology to document and characterize implementation strategies use over time.

Methods: The development and initial evaluation of the LISTS method was conducted within the Improving the Management of SymPtoms during And following Cancer Treatment (IMPACT) Research Consortium (supported by funding provided through the NCI Cancer Moonshot).

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Purpose: While the use of electronic patient-reported outcomes (ePROs) in routine clinical practice is increasing, barriers to patient engagement limit adoption. Studies have focused on technology access as a key barrier, yet other characteristics may also confound readiness to use ePROs including patients' confidence in using technology and confidence in asking clinicians questions.

Methods: To assess readiness to use ePROs, adult patients from six US-based health systems who started a new oncology treatment or underwent a cancer-directed surgery were invited to complete a survey that assessed access to and confidence in the use of technology, ease of asking clinicians questions about health, and symptom management self-efficacy.

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Background: Electronic health record-linked portals may improve health-care quality for patients with cancer. Barriers to portal access and use undermine interventions that rely on portals to reduce cancer care disparities. This study examined portal access and persistence of portal use and associations with patient and structural factors before the implementation of 3 portal-based interventions within the Improving the Management of symPtoms during And following Cancer Treatment (IMPACT) Consortium.

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  • Cancer and its treatment can lead to severe symptoms that lower patients' quality of life and increase their need for healthcare services and hospital stays.* -
  • The IMPACT Consortium aims to create and test systematic approaches for better symptom management using electronic health record systems.* -
  • The framework and organizational structure of the IMPACT Consortium are described, along with insights on study design and challenges faced during the COVID-19 pandemic.*
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Purpose: To examine the feasibility of integrating a symptom management platform into the electronic health record (EHR) using electronic patient-reported outcomes (ePROs) during oral cancer-directed therapy (OCDT) and explore the impact of prompting oncology nurse navigators (ONNs) to respond to severe symptomatic adverse events (SAEs).

Materials And Methods: Adults prescribed OCDT at Dana-Farber Cancer Institute were consecutively invited to participate. Participants received weekly messages to complete ePROs.

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Cancer of unknown primary (CUP) is a type of cancer that cannot be traced back to its primary site and accounts for 3-5% of all cancers. Established targeted therapies are lacking for CUP, leading to generally poor outcomes. We developed OncoNPC, a machine-learning classifier trained on targeted next-generation sequencing (NGS) data from 36,445 tumors across 22 cancer types from three institutions.

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  • Triple-negative breast cancer (TNBC) poses a high risk of breast cancer-specific mortality (BCSM), and the tool 'ESTIMATE-TN' helps estimate this risk and non-breast cancer-specific mortality for better clinical decisions.
  • Utilizing data from the SEER database, ESTIMATE-TN provides an interactive assessment of cumulative risks for BCSM and non-BCSM for non-metastatic cases based on patient and tumor characteristics over a 7-year period from diagnosis.
  • The study included 37,293 TNBC patients, revealing specific risk percentages for different age groups and tumor characteristics, demonstrating the tool's potential in helping healthcare providers understand competing mortality risks in TNBC patients.
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